OrganizationActive
New York City Department of Health and Mental Hygiene
NPI 1417204959 · State or Local Public Health Clinic/Center · Jackson Heights, NY
Provider details
- NPI number
- 1417204959
- Entity type
- Organization
- Primary specialty
- State or Local Public Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Linda Guo, Public Health Nurse(718) 476-7636
- License
- 468177-1 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
34-33 Junction Blvd
Jackson Heights, NY 11372
Phone: (718) 476-7636
Fax: (718) 476-7131
Street-level locationGet directions
Mailing address
3433 Junction Blvd
Jackson Heights, NY 11372-3828
Registry dates
- Enumerated
- 2012-08-14
- Last updated
- 2012-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.